Research Progress on Gait Analysis of Children with Cerebral Palsy

A special issue of Children (ISSN 2227-9067).

Deadline for manuscript submissions: closed (25 June 2022) | Viewed by 11393

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Alfred I. duPont Hospital for Children, Wilmington, NC, USA
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Special Issue Information

Dear Colleagues,

Cerebral palsy (CP) is a brain (neurological) disorder that causes problems with normal motor function. It is a lifelong condition that affects how the brain and muscles communicate. CP affects body movement, muscle control, coordination, reflexes, posture, and balance. These problems are caused by damage to or abnormal development of certain brain areas. However, many children with CP have normal intelligence. CP can range in severity, but it neither worsens nor improves over time. With diagnosis and treatment, children can learn how to manage their condition.

We welcome the submission of original research papers, case reports, short communications, and literature/systematic reviews.

Dr. Julieanne P. Sees
Guest Editor

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Keywords

  • Cerebral palsy
  • Motor control
  • Rehabilitation
  • Children
  • Cardiovascular disease

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Published Papers (3 papers)

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Research

12 pages, 553 KiB  
Article
The Effectiveness of Sensory Integration Interventions on Motor and Sensory Functions in Infants with Cortical Vision Impairment and Cerebral Palsy: A Single Blind Randomized Controlled Trial
by Mustafa Cemali, Serkan Pekçetin and Esra Akı
Children 2022, 9(8), 1123; https://doi.org/10.3390/children9081123 - 27 Jul 2022
Cited by 6 | Viewed by 5886
Abstract
Cortical vision impairment (CVI) and Cerebral Palsy (CP) lead to decrement in sensory and motor functions of infants. The current study examined the effectiveness of sensory integration interventions on sensory, motor, and oculomotor skills in infants with cortical vision impairment. Thirty-four infants with [...] Read more.
Cortical vision impairment (CVI) and Cerebral Palsy (CP) lead to decrement in sensory and motor functions of infants. The current study examined the effectiveness of sensory integration interventions on sensory, motor, and oculomotor skills in infants with cortical vision impairment. Thirty-four infants with and CP aged 12–18 months were enrolled to the study. The infants were randomly divided into two groups as the control and intervention groups. The intervention group took sensory integration intervention 2 days a week for 8 weeks in addition to conventional physiotherapy 2 days a week for 8 weeks. The control group only received the conventional physiotherapy program 2 days a week for 8 weeks. The duration of the treatment sessions were 45 min for both interventions. Before and after the intervention, sensory processing functions were evaluated with the Test of Sensory Functions in Infants (TSFI), and motor functions were evaluated with the Alberta Infant Motor Scale (AIMS). There was a statistically significant difference between the pre- and post-test mean TSFI total and AIMS scores in the intervention group and control group (p < 0.001). The intervention group mean TSFI scores were more statistically significant than the those of the control group. Mean post-intervention AIMS scores did not differ between groups. Sensory integration intervention delivered with the conventional physiotherapy program was more effective than the conventional physiotherapy program in increasing sensory processing skills in one measure in infants with CVI and CP. Full article
(This article belongs to the Special Issue Research Progress on Gait Analysis of Children with Cerebral Palsy)
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10 pages, 1040 KiB  
Article
Loaded Functional Strength Training versus Traditional Physical Therapy on Hip and Knee Extensors Strength and Function Walking Capacity in Children with Hemiplegic Cerebral Palsy: Randomized Comparative Study
by Hanaa Mohsen Abd-Elfattah, Fairouz Hatem Ameen, Reham Alaa Elkalla, Sobhy M. Aly and Noha Ahmed Fouad Abd-Elrahman
Children 2022, 9(7), 946; https://doi.org/10.3390/children9070946 - 24 Jun 2022
Cited by 1 | Viewed by 2729
Abstract
Objective: This study’s objective was to see how loaded functional strengthening exercises using a plantigrade foot position and a shoe supporter affected muscle strength and walking ability in spastic hemiplegic children. Methods: Seventy-two children with spastic hemiplegic cerebral palsy, both sexes, aged ten [...] Read more.
Objective: This study’s objective was to see how loaded functional strengthening exercises using a plantigrade foot position and a shoe supporter affected muscle strength and walking ability in spastic hemiplegic children. Methods: Seventy-two children with spastic hemiplegic cerebral palsy, both sexes, aged ten to twelve years, were randomly assigned into two groups equal in number (control and intervention groups). The control group received a specially designed physical therapy program, whereas the intervention group received a loaded functional strengthening exercises program using a shoe supporter to maintain a plantigrade foot position. The training program was carried out for 60 min, three times per week for three consecutive months. All participants were evaluated both before and after the therapy program by using a Medical Commander Echo Manual Muscle Tester dynamometer to assess isometric muscle power of hip and knee extensors on the affected side. To assess functional walking capacity, a 6 min walking (6MWT) test was used. Results: Study groups were comparable with respect to all outcome measures at entry (p > 0.05). Within-group comparison showed significant improvements in all measured variables. Furthermore, between-group comparison revealed significantly greater improvements (p < 0.05) in hip and knee extensors strength as well as the functional walking capacity in favor of the intervention group. Conclusions: In all the analyzed variables, loaded functional strength exercises from the plantigrade foot position were found to be considerably more effective in the intervention group than in the control group. Full article
(This article belongs to the Special Issue Research Progress on Gait Analysis of Children with Cerebral Palsy)
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10 pages, 1489 KiB  
Article
Gait Adaptation Is Different between the Affected and Unaffected Legs in Children with Spastic Hemiplegic Cerebral Palsy While Walking on a Changing Slope
by Tae Young Choi, Dongho Park, Dain Shim, Joong-on Choi, Juntaek Hong, Yongjin Ahn, Eun Sook Park and Dong-wook Rha
Children 2022, 9(5), 593; https://doi.org/10.3390/children9050593 - 22 Apr 2022
Cited by 3 | Viewed by 2163
Abstract
Walking on sloped surfaces requires additional effort; how individuals with spastic hemiplegic cerebral palsy (CP) manage their gait on slopes remains unknown. Herein, we analyzed the difference in gait adaptation between the affected and unaffected legs according to changes in the incline by [...] Read more.
Walking on sloped surfaces requires additional effort; how individuals with spastic hemiplegic cerebral palsy (CP) manage their gait on slopes remains unknown. Herein, we analyzed the difference in gait adaptation between the affected and unaffected legs according to changes in the incline by measuring spatiotemporal and kinematic data in children with spastic hemiplegic CP. Seventeen children underwent instrumented three-dimensional gait analysis on a dynamic pitch treadmill at an incline of +10° to −10° (intervals of 5°). While the step length of the affected legs increased during uphill gait and decreased during downhill gait, the unaffected legs showed no significance. During uphill gait, the hip, knee, and ankle joints of the affected and unaffected legs showed increased flexion, while the unaffected leg showed increased knee flexion throughout most of the stance phase compared with the affected leg. During downhill gait, hip and knee flexion increased in the affected leg, and knee flexion increased in the unaffected leg during the early swing phase. However, the ankle plantar flexion increased during the stance phase only in the unaffected leg. Although alterations in temporospatial variables and joint kinematics occurred in both legs as the slope angle changed, they showed different adaptation mechanisms. Full article
(This article belongs to the Special Issue Research Progress on Gait Analysis of Children with Cerebral Palsy)
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